2019 年乳腺癌腋窝手术的进展。

Advances in axillary surgery for breast cancer 2019.

机构信息

Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, California.

Department of Surgery, Los Angeles County and USC (LAC+USC) Medical Center, Los Angeles, California.

出版信息

J Surg Oncol. 2020 Jan;121(1):20-24. doi: 10.1002/jso.25591. Epub 2019 Jun 25.

DOI:10.1002/jso.25591

PMID:31240726

Abstract

Over the last 25 years, modifications in systemic and radiation therapy for breast cancer have led to significant reductions in the risk of regional recurrence. During the same time, surgeons have demonstrated that it is safe to forego axillary dissections for patients with low burdens of axillary lymph node disease. When these advances are added to those by reconstructive microsurgeons, the promise of reducing morbidity rates from posttreatment lymphedema seems within our grasp.

摘要

在过去的 25 年中，乳腺癌的系统治疗和放射治疗的改进显著降低了区域性复发的风险。在此期间，外科医生已经证明，对于腋窝淋巴结疾病负担低的患者，避免腋窝清扫是安全的。当这些进展与重建显微外科医生的进展相结合时，降低治疗后淋巴水肿发病率的前景似乎就在我们的掌握之中。